Jammi

Customer Service Representative, Appointment Setter, Email Management, Social Me

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Overview

Looking for full-time work (8 hours/day)

at $3.91/hour ($755.20/month)

Bachelors degree

Last Active

July 5th, 2026 (4 days ago)

Member Since

March 9th, 2024

Profile Description

HealthCare Insurance professional with 3 years of experience supporting Ambetter Marketplace (ACA) Provider Services in a BPO environment. Strong background in provider inquiries, eligibility verification, claims status, authorizations, and administrative coordination. Seeking to transition into a Healthcare Virtual Assistant role, leveraging provider-side knowledge, documentation accuracy, and remote administrative expertise.

Top Skills

Experience: 2 - 5 years

Healthcare Customer Service – Expertise in handling patient and provider inquiries, resolving issues related to claims, billing, eligibility, and authorizations. Provider Relations – Skilled in assisting healthcare providers with plan benefits, claims status, appeals, and policy clarifications. Insurance Verification – Proficient in verifying insurance coverage and benefits across various health plans and networks. Claims Processing Knowledge – Understanding of healthcare claims lifecycle, including denials, reprocessing, and appeals. HIPAA Compliance – Strong knowledge of patient privacy regulations and secure handling of sensitive information. Communication Skills – Clear and professional verbal and written communication with patients, providers, and internal departments. Conflict Resolution – Ability to de-escalate concerns and provide effective solutions under pressure. Electronic Health Records (EHR) & CRM Systems – Experience with data entry, documentation, and navigation of EHR and customer service software. Multitasking & Time Management – Capable of managing a high volume of calls and tasks efficiently while maintaining accuracy. Team Collaboration – Works effectively with cross-functional teams including billing, claims, and medical staff to resolve issues and enhance service delivery.

Other Skills

Basic Information

Age
28
Gender
Female
Website
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Address
Santa Cruz, Laguna
Tests Taken
None
Government ID
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